Abstract

Improving the evidence base for trauma care: progress in the international CRASH-2 trial.

Highlights

  • Background to the TrialBetween the ages of 5 and 45 years, trauma is second only to HIV/AIDS as a cause of death

  • Among trauma patients who do survive to reach hospital, excessive blood loss is a common cause of death, accounting for nearly half of in-hospital trauma deaths [2]

  • A World Health Organization study compared the level of research funding with current and projected (2020) disease burden

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Summary

PLoS CLINICAL TRIALS

Improving the Evidence Base for Trauma Care: Progress in the International CRASH-2 Trial. There is an urgent need to improve the evidence base for trauma care. The CRASH-2 trial, which is currently under way (registered at ISRCTN86750102), is a large placebocontrolled trial being performed in trauma patients at risk of significant haemorrhage. The trial examines the effects of antifibrinolytic treatment on death and the need for blood transfusion. If such a simple and widely practicable treatment as the antifibrinolytic agent tranexamic acid (TXA) were shown to reduce blood loss after trauma, thousands of trauma deaths could be preventable worldwide. We present an overview of the progress of the trial and urge physicians working in emergency care to consider joining this international collaborative effort

Background to the Trial
Overview of Trial Design
Obtaining Consent in Emergency Situations
Thromboembolic complications Treatment compliance
Trial Progress
Findings
Outcomes to Date
Full Text
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